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Ms Bitros is a certified palliative care trainer and clinical resource coordinator at Life Choice Hospice with offices in Philadelphia, Fort Washington, and Allentown Pa.

Correspondence to Barbara S. Bitros, RN, 437 Pennsylvania Ave, PO Box 249, Fort Washington, PA 19034.E-mail: BBitros{at}comcast.net; BBitros{at}LifeChoiceHospice.com

Management of cancer pain is still a significant problem in healthcare today despite the fact that cancer pain can be controlled in approximately 90% of patients. Emotional, psychosocial, and spiritual suffering associated with the disease complicates the problem. Guidelines issued by the Agency for Healthcare Research and Quality address management of cancer pain. Pain intensity scales, complementary and alternative methods, and the role of the interdisciplinary care team, as well as the need to provide spiritual support to the patient and family, are included in the discussion.